Membership Application

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Please complete this form, print the page, sign and mail with your payment to:
Resources for R.I. Education
P.O. Box 6264
Providence, RI 02940
Your check or money order should be made payable to "RRIE".

 Individual: $60 ... 1 Card (more info)
 Organization: $215 ... 4 Cards
(more info)
 Corporate Sponsorship: $365 ... 8 Cards
(more info)

Your Name

Home Address

City, State, Zip

Home Phone

Email Address

Business, School,
or Organization

Contact Person

Address

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Org. Phone

Please indicate where you would like mailing sent:   Home     Business

I, the undersigned, understand that all materials are distributed in as-is condition, with no guarantees or warrantees stated or implied by Resources for R.I. Education. No liability is assumed by Resources for R.I. Education for the acquisition, distribution or redistribution and reuse or misuse of materials. The member assumes all risk. My signature on this form is my acceptance of these responsibilities.
Application is incomplete without signature!

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